Question Answered step-by-step A child weighs 45 lbs. The doctor ordered Benadryl 12.5 mg po every… A child weighs 45 lbs. The doctor ordered Benadryl 12.5 mg po every 4-6 hr for itching. According to the Mosby Drug Reference the recommended dose is 5 mg/kg/day in 4 divided doses. Determine if the physician order is a safe dose. Health Science Science Nursing NURSING 2351 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Lou Brown is a 58-year-old white male who comes in with a cough for… Lou Brown is a 58-year-old white male who comes in with a cough for the past four days. He says that the cough has been intermittent. It started out as a dry cough but over the past two days, he has started coughing up thick pale yellow phlegm. He thinks he has had a fever but he has not actually taken his temperature. He is a smoker but has not been smoking very much the past few days as that seems to make the cough worse. He has also felt very tired. He has taken Tylenol off and on and it does help slightly. About a week and a half ago, he played poker with some friends and one of them was sick. His wife accompanies him and when you ask them both, they deny that he has had any confusion.PMH: History of Hypertension and Diabetes Mellitus Type 2. He admits he has not been going to his provider on a regular basis (thinks the last time he went was about 7 months ago) but his provider had refilled his meds for a year so he has not run out of them.Medications: lisinopril 20 mg daily; metformin 500 mg twice dailyAllergies: PenicillinSocial history: 40 pack-year history of tobacco use (cigarettes); no alcohol or drugs.Vitals: Ht: 5’4″; Wt: 190 lbs; BP: 150/94; P 88 R 26; Temp: 101.0 oral Pulse ox 96% Please document the history questions you would ask the patient. What Physical Exam would you obtain? What labs/diagnostics would you order? List your top four differential diagnoses. List your rationale for your top diagnosis.What is a CURB Score? (1 point)A score to estimate the mortality of CAP to help determine inpatient vs. outpatient treatment. When his labs come back, his CMP shows that his BUN is 21. Based on that information and on his presentation, what is his CURB score and how did you arrive at that score?  Based on his CURB score, should he be treated on an outpatient or inpatient basis? His chest x-ray does indeed show infiltrates. What is your treatment plan for him? Name 3 health promotion topics that you should discuss with himWhat is your follow-up plan?  Health Science Science Nursing NRNP 6568 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step The nursing profession through regulation by State Boards of Nursingand the professional nursing organization (American Nurses Association – ANA) as well as specialty organization such as the American Association of Critical-Care Nurses are responsible to the public and to their membership to define the scope of a nurse’s practice and the standards that define practice. Regulation of nurses is by licensure which is enacted by law with State Boards of Nursing as the government agency that provides the oversight. See the National Council of State Boards of Nursing and then review your own State’s Board of Nursing and their rules and regulations for RNs. The purpose of the State Board of Nursing is to protect the public’s safety.There are many roles nurses may have such as a generalist where care is provided to diverse clients with acute and chronic conditions and diseases. Nurses may also select a particular area of nursing such as pediatrics or public health. In many cases nurses can practice within these roles with their RN license however they may need additional training and education and sometimes a credential called certification. See the American Nurses Credentialing Center for more information on certification. Some nurses choose to move ahead in their career and become advanced practitioners such as a nurse practitioner or clinical nurse specialist. In these roles nurses must go on for further education and their scope of practice and standards are usually regulated by the State Board of Nursing and specialty professional organizations. Other nurses enter leadership roles or want to teach or do research. They also need further education and training.In the document, Nursing: Scope and Standards of Practice, that you reviewed for this module, scope of practice is defined by the “who,” “what,” “where,” “when,” “why,” and “how” of nursing practice. It is an important document and one you should keep in mind when providing nursing care. After reviewing the Nursing Standards of Practice, describe three reasons why these are important to nursing practice, safety, and achieving good client outcomes Health Science Science Nursing DIMENSION 2058 Share QuestionEmailCopy link Comments (0)

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QuestionAnswered step-by-stepWill you help with these questions Please?Question 1The ANA Code of Ethics of nurses applies to all the following except:·        Nurse educators·        Nurse researchers·        Physician’s assistants·        Advanced practice registered nursesQuestion 2Which of the following antedepresants are approved by the FDA for treating depression in children ages 8-17?·        Sertraline·        Fluoxetine·        Duloxine·        FluvoxetineQ3Applied behavoral analysis us typically indicated for which of the following disorders:·        Anxiety disorder·        Depressive disorder·        Autism spectrum disorder ·        oppositional defiant disorderQ4:When educating a child for developmental delay the following question:has your child lost any previously acquired skills or abilities?” would bea creening question for which diagnostic category?·        Sensory impairment·        Neurobehavior disorder·        Autism spectrum disorder·        Neurogenative conditionsQ5Which of he following medications are apapproved by the FDA for treatment of Bipolar Disorder in children ages 10-17?·        Lithium·        Olanzapine·        Aripipzole·        OlanzapineQ6:Time consuming internal repetitions of unwanted thoughts and or a persistent focus on repeating specific types of behaviors or mental acts aresymptoms consistent with which of the following diagnoses?·        Bipolar disorder·        Major depressive disorder·        Generalized anxiety disorder·        Obsessive- compulsive disorderQ7:Psychotherapy is an important treatment strategy for young people fow which of the following reasons? Check all that apply:·        Psychotherapy is almost always the safest treatment option·        Psychotherapy has the least potential fir adverse effects·        Psychotherapy has shown superior eficac over psychotropic medications·        When a person attributes changes to their own actions the behavior is more enduring  Q8.A therapy focus or readiness to change related to health behaviors is known as which of he following?·        Social skills training·        Motivational interviewing ·        Applied behavioral analysis·        Behavioral management trainingQ9.Ethical standards set forth by the Apa are which of the following?·        They are guidelines for psychologist·        They are enforceable for psychologist·        They are exhaustive list of professional standards·        They are standards that apply to professional an private conduct of psychologistQ9Ethical standards set forth by the APA are which of the following?·        They are guidelines for psychologists·        They are enforceable rules for psychologists·        They are an exhaustive list of professional standards·        They are standards that apply to professional and private conduct of psychologistQ10The clinician asks the child who is being seen for labile mood “have you felt really down, depressed or uninterested in things you used to enjoy for more than 2 weeks? To screen for which of the following diagnostic categories?·        Sucidalality·        Bipolar Disorder·        Major depressive disorder·        Disruptive mood dysregulation disorderQ11Which of the following medications is approved for the treatment of enuresis?·        Tofranil·        Zolpidem·        Solriamfetol·        Rotigotine patchQ12Strategies that enhance therapeutic engagement include which of the following?·        Engage the child/adolescent in a manner to encourage them felling noticed, heard and appreciated?·        Make sure the parent/caregiver is always in the room·        Start off with targeted diagnostic questions to save time·        Always take the child/adolescent’s side if there is disagreement with caregiver.Q13The domain of ethics concerning the nature of ethics and moral reasoning is known as which·        Metaethics·        Normative ethics·        Applied ethics·        Moral ethicsQ14Which of the following symptoms assists in diffrentiatin anorexia from depression?·        Crying spells·        Sleep disturbance·        Decreased appetite·        Occasional suicide thoughtsQ15The ARNP asks the teenager who according to parents has been extremely moody, have you been using drugs or alcohol for which of the following diagnostic possibilities-         Substance use disorder-         Major depressive disorder-         Generalized anxiety disorder-         Posttraumatic stress disorderQ16Hypersomnolence disorder (excessive sleeping) can be caused by which of the following?-         Insufficient sleep-         Disrupted sleep-         Basic neurologic dysfunction in the brain systems regulating sleep-         All of the aboveQ17Which of the following is not consistent with a code of ethics for the nursing profession –         A code of ethics for the nursing profession informs every aspect of the nurse’s life-         A code of ethic makes explicit the primary obligations of the nursing profession-         A code of ethics address the values and ideals of the nursing profession-         B and C onlyQ18In evaluating an adolescent with recurrent and excessive physical complaints, the clinician would first consider all of the following prior to which other diagnostic possibility?-         Anxiety disorder-         Adjustment disorder-         Conversion disorder-         Abuse or maltreatmentQ19According to the APA which of the following is required to support a child’s DSM-5 diagnosis?-         The child’s clinical presentation fulfills the specific symptom based diagnostic criteria-         The child’s symptoms are not caused by other diagnoses or stressors-         The child’s symptoms are impairing a child’s functioning in at least 2 settings-         A and BQ20When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following?-         Become a surrogate decision maker for the patient-         Consult a formally designated surrogate for the parent choices-         Make safe choices for the patient based on the nurse’s beliefs and values-         Continue to support all the patient’s choices until a surrogate can be foundQ21Identifying opportunities to improve which of the following is likely to improve the health of children?-         Recognition of mental distress-         Screening for mental distress-         Education about mental health treatment-         All of the aboveQ22Which of the following antidepressant medications have the greatest tendency to increase appetite and body weight?-         Fluoxetine (Prozac)-         Trazadone (Desyrel)-         Amitriptyline (Elavil)-         Venlafaxine (Effexor)Q23Which of the following is the most common eating disorder?-         Bulimia nervosa-         Anorexia nervosa-         Binge eating disorder-         Night eating syndromeQ24When depression and clinical conditions co-exists, the clinician should all the following EXCEPT –         Attempt to determine the medical condition is pathophysiological related to the depression-         Attempt to determine whether any medications the patient is taking for the medical condition are causing the depression-         Do not attempt to treat the depression until the medical condition is improved-         If indicated and medically safe to do so, treat the co-existing depressionQ25Which of the following medications is approved by the FDA for treating bipolar depression in children ages 10-17?-         Duloxetine –         Lurasidone-         Aripiprazole-         EscitalopramQ26Which of the following medications is approved by the FDA for treating OCD in children aged 6-11?-         Sertraline-         Fluoxetine-         Fluvoxamine-         ClomipramineQ27Which of the following medications is considered a first line treatment for anxiety in children?-         Sertraline (Zoloft)-         Citalopram (Celexa)-         Fluvoxamine (Luvox)-         Paroxetine (Paxil)Q28The lack of the ability to adequately use words to describe one’s emotional state is knownas which of the following? –         Athymia-         Euthymia-         Dysthymia-         AlexithymiaQ29The clinician asks an adolescent ” have you felt persistently sad or gloomy for more than a year?’ to assess for which of the following common diagnostic possibilities?-         Bipolar disorder-         Substance use disorder-         Major depressive disorder-         Persistent depressive disorderQ30Which of the following maybe symptoms of depression in adolescents? Check all that apply-         Substance abuse-         Antisocial behavior-         Sexual promiscuity-         Poor academic performance  Question 31Which of the following may be symptoms of depression in children? A. School phobia B. Excessive clinging to parents C. Preferring to spend time with friends from school D. A and B Question 32A 10-year-old child presents with developmentally inappropriate and persistent difficulty with inattention with symptoms which are interfering with academic goals and in social settings. This is consistent with which of the following diagnoses? A. Conduct disorder B. Autism spectrum disorder C. Generalized anxiety disorder D. Attention-deficit/hyperactivity disorder Question 33When evaluating a child with poor academic performance which of the following diagnostic categories should be considered first? A. Sensory impairment B. Intellectual disability C. Substance use disorder D. Mood or anxiety disorder       Question 34When assessing suicidality in adolescents which of the following is recommended? A Only assess for suicidality if you suspect this may be a problem. B. Assess for suicidality when you are alone with the adolescent. C. Assess for suicidality while meeting with the adolescent and parents together. D. Wait for the adolescent to bring the issue of suicidality up to avoid giving them the idea.        Question 35Which of the following patients have the right to refuse treatment? Check all that apply. A. A patient who is psychotic B. A patient who has been declared incompetent by a civil authority and mandated to treatment C. A patient who been involuntarily admitted to an acute inpatient psychiatric unit on an emergency hold D. None of the above  Question 36Which of the following symptoms assists in differentiating purging disorder from bulimia nervosa? A. Abuse of laxatives and diuretics B. Purging does not occur as a result of a binge episode C. Purging behavior occurs after eating small quantities of food or drink D. B and C    Question 37Which of the following disorders is characterized by episodic bouts of intake of excessive amounts of food but without purging or similar compensatory behavior? A. Bulimia nervosa B. Anorexia nervosa C. Binge eating disorder D. Night eating syndrome  Question 38Which of the following symptoms are associated with Major Depressive Disorder with Melancholic Features? A. Psychosis B. Weight loss C. Severe anhedonia D. B and C    Question 39Which of the following is NOT consistent with a DSM -5 diagnosis of major depressive episode? A. Must last at least 2 week B. Patient may have a history of hypomania, but none of those symptoms may be present currently. C. Patient does not have a history of mania. D. A least four symptoms, which may include change in appetite, sleep, decreased energy, and cognitive difficulty. Question 40The strongest predictors of a future suicide completion include which of the following? Check all that apply. A. An active mood disorder B. A history of suicide attempts C. Current substance use disorder D. A family history of suicidal behaviors Question 41Which of the following antipsychotic medications has the greatest risk for weight gain and lipid changes? A. Ziprasidone (Geodon) B. Aripiprazole (Abilify) C. Olanzapine (Zyprexa) D. Quetiapine (Seroquel)  Question 42A child who presents with more than 6 months of persistent but diffuse, changing worries for more days than not, that cause symptoms such as tension, fatigue, irritability, and poor concentration has symptoms congruent with which of the following diagnoses? A. Major depressive disorder B. Generalized anxiety disorder C. Posttraumatic stress disorder D. Attention-deficit/hyperactivity disorder     Question 43Sleep-related hallucinations occurring at sleep onset are known as which of the following? A. Hypnagogic B. Hypnopompic C. Complex hallucinations D. Paranormal hallucinations Question 44Which of the following is true regarding the cultural formulation interview with a child and caregiver? A. Asking about a child and caregiver’s cultural understanding is an efficient way to build a therapeutic alliance. B. While cultural understanding is important, it is important not to personalize the diagnosis. C. While obtaining cultural information is important, it may increase bias and thus decrease accuracy of the assessment. D. Engaging in a discussion about culture, while interesting and engaging, is a distraction from the problem that brought the child and caregiver to the provider. Question 45Which of the following hormone levels is increased in anorexia nervosa? A. Corticotrophin-releasing hormone (CRH) B. Luteinizing hormone (LH) C. Follicle-stimulating hormone (FSH) D. Thyroid-stimulating hormone (TSH) Question 46The mental health practitioner realizes the following about using a behavioral health rating scale? A. Rating scare are inherently imperfect. B. Rating scales should never be the sole basis for making a diagnosis. C. Behavioral health rating scales are an efficient tool to quickly diagnosis a patient. D. A and B Question 47When evaluating a child who is sad and withdrawn the clinician asks, “Did all your symptoms seem to start with fatigue?” in screening for which of the following diagnostic categories? A. Abuse B. Bullying C. Medical conditions D. Persistent depressive disorder (dysthymia) Question 48The clinician asks the child who is anxious/worried, “Is there something in particular or a situation that makes you immediately afraid?” to screen for which of the following diagnostic categories? A. Panic disorder B. Specific phobia C. Generalized anxiety disorder D. Separation anxiety disorder Question 49Which of the following is NOT consistent with what is known about socioeconomic and cultural factors related to mood disorders? A. No correlation has been found between socioeconomic status and major depressive disorder. B. A higher-than-average incidence of Bipolar I disorder is found among the upper socioeconomic groups. C. Bipolar I disorder is more common among persons who graduated from college. D. The prevalence of mood disorder does not differ among races. Question 50When assessing for substance abuse in an adolescent, the clinician should initially assess for which of the following? A. Safety B. Self medication C. Substance tolerance D. Substance use disorder Question 51A dissociation between the patient’s experience of sleeping and the objective polygraphy measures of sleep is known as which of the following? A. Sleep state misperception B. Psychophysiological insomnia C. Persistent insomnia Health ScienceScienceNursingNURS 6645Share Question

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Question Answered step-by-step Internal resources include which of the following? A. Internal… Internal resources include which of the following?A. Internal resources are more tangible than external resourcesB. Internal resources consist of the person’s ability to manage primarily negative emotions.C.Internal resources include the person’s ability to self-soothe, demonstrate adequate impulse control, and regulate moods.D. Are intuitive and easily measured. Health Science Science Nursing NURS MISC Share QuestionEmailCopy link Comments (0)

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