Nokea
Administer Dopamine 3 mcg/kg/min. The client weighs 176 pounds. The drug is available as 500 mg in 250 mL of fluid. Calculate mcg/min, mcg/hr, and mL/hr. (Do not round your answer and include unit of measure with each answer)
Correct Answer: 7.2
Rationale: To calculate the correct answer, first convert the client's weight from pounds to kilograms (176 lb / 2.2 = 80 kg). Then, calculate the total dose per minute (3 mcg/kg/min * 80 kg = 240 mcg/min). Next, calculate the total dose per hour (240 mcg/min * 60 min = 14,400 mcg/hr). Finally, determine the mL/hr by dividing the total dose per hour by the concentration of the drug (14,400 mcg/hr / 500 mg in 250 mL = 28.8 mL/hr). Therefore, the correct answer is 240 mcg/min, 14,400 mcg/hr, and 28.8 mL/hr. Other choices are incorrect as they do not follow the proper conversion and calculation steps.
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A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply.)
- A. Ritualistic behavior
- B. Short attention span
- C. Spinning a toy repetitively
- D. Consistent limit testing
- E. Delayed language development
Correct Answer: A,B,C,E
Rationale: The correct findings for a child with autism spectrum disorder are A, B, C, and E. A: Ritualistic behavior is common in children with ASD due to their need for predictability and routine. B: Short attention span is often seen in children with ASD, affecting their ability to focus on tasks. C: Spinning a toy repetitively is a stereotypical behavior associated with ASD, serving as a self-soothing mechanism. E: Delayed language development is a hallmark feature of ASD, impacting communication skills. These findings align with the core characteristics of ASD. Choices D and beyond are incorrect as they do not typically align with common manifestations of ASD in children.
Which of the following factors may contribute to an increased risk of suicide?
- A. Engaging in regular physical exercise
- B. Having a positive self-esteem
- C. Having a strong social support system
- D. Experiencing a history of trauma or abuse
Correct Answer: D
Rationale: The correct answer is D: Experiencing a history of trauma or abuse. Research shows that individuals who have experienced trauma or abuse are at a higher risk of suicide due to the psychological impact of such experiences. Trauma can lead to feelings of hopelessness, worthlessness, and despair, increasing suicidal ideation. Now, let's analyze why the other choices are incorrect. A: Engaging in regular physical exercise can actually reduce the risk of suicide by improving mental health and overall well-being. B: Having a positive self-esteem is also a protective factor against suicide as it fosters resilience and coping skills. C: Having a strong social support system is crucial in preventing suicide, as it provides emotional support and a sense of belonging, therefore decreasing the risk.
A nurse is talking with a client diagnosed with schizophrenia. Suddenly the client states,I'm frightened. Do you hear that? The voices are telling me to do terrible things. Which of the following responses by the nurse is appropriate?
- A. What are the voices telling you to do?
- B. You need to tell the voices to leave you alone.
- C. You need to understand that there are no voices.
- D. Why do you think you are hearing the voices?
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. **Acknowledge the client's experience**: By asking "What are the voices telling you to do?" the nurse validates the client's experience and shows empathy.
2. **Encourages communication**: This response opens up a dialogue and allows the nurse to gather more information for assessment and understanding.
3. **Avoids dismissing or denying the experience**: Options B and C dismiss or deny the existence of the voices, which can make the client feel unheard or misunderstood.
4. **Promotes therapeutic communication**: Asking about the content of the voices helps the nurse assess the client's level of distress and potential risk.
5. **Supports building trust**: By demonstrating active listening and showing interest in the client's experience, the nurse can build a trusting therapeutic relationship.
Summary:
- Option A is correct as it acknowledges the client's experience and promotes communication.
- Options B and C dismiss or deny the client's experience.
- Option D focuses on the cause rather
A nurse in the acute mental health unit is admitting a new client with an eating disorder. The nurse is aware that which of the following are considered comorbidities of eating disorders? (Select all that apply.)
- A. Anxiety
- B. Depression
- C. Obsessive-compulsive disorder
- D. Schizophrenia
- E. Breathing-related sleep disorder
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Anxiety, depression, and obsessive-compulsive disorder are commonly seen as comorbidities in individuals with eating disorders. Anxiety and depression are often present due to the psychological stress and emotional turmoil associated with the eating disorder. Obsessive-compulsive disorder can manifest in obsessive thoughts about food, weight, and body image, as well as compulsive behaviors related to eating and exercise. Schizophrenia and breathing-related sleep disorder are not typically associated with eating disorders, making choices D and E incorrect. It is essential for the nurse to be aware of these comorbidities to provide holistic care to the client.
A nurse is assessing a client diagnosed with schizophrenia. Which of the following behaviors should the nurse document to be associated with schizophrenia?
- A. Recurrent thoughts of past trauma
- B. Invents words that have no meaning
- C. Preoccupied with folding clothes
- D. Periods of elation with unusual talkativeness
Correct Answer: B
Rationale: The correct answer is B: Invents words that have no meaning. This behavior is associated with a symptom of schizophrenia called "neologisms," where individuals create new words that are not part of any known language. This is a characteristic feature of disorganized thinking in schizophrenia. Recurrent thoughts of past trauma (choice A) are more aligned with symptoms of PTSD rather than schizophrenia. Being preoccupied with folding clothes (choice C) is more indicative of obsessive-compulsive disorder. Periods of elation with unusual talkativeness (choice D) are more likely symptoms of bipolar disorder rather than schizophrenia.