A nurse is assessing a school-age child who recently loaded a virus onto their teacher's computer after receiving a poor grade on a science project. The child's guardian tells the nurse their child often bullies the other kids at school. Which of the following diagnoses should the nurse expect?
Oppositional defiant disorder (ODD)
Attention deficit hyperactivity disorder (ADHD)
Intermittent explosive disorder (IED)
Conduct disorder (CD)
The Correct Answer is D
A. Oppositional defiant disorder (ODD): Characterized by defiance, but not typically bullying behaviors.
B. Attention deficit hyperactivity disorder (ADHD): May include impulsivity and hyperactivity, but not necessarily bullying.
C. Intermittent explosive disorder (IED): Involves impulsive outbursts of aggression, not chronic bullying.
D. Conduct disorder (CD). Conduct disorder involves persistent patterns of behavior that violate societal norms and the rights of others, including aggression and bullying. Bullying behavior and aggression are common manifestations of conduct disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "You will need to use a bathroom separate from other household members." This prevents others from exposure to radioiodine through bodily fluids. Radioiodine is excreted primarily through urine and to a lesser extent through saliva and sweat, necessitating separate bathroom use to minimize radiation exposure to others.
B. "You will need to remain at the hospital for the entire time the radioiodine is radioactive." Most RAI treatments for hyperthyroidism are done on an outpatient basis.
C. "A low fiber diet will be necessary." Unrelated to radioiodine treatment. There is no specific dietary restriction related to fiber for RAI treatment.
D. "Additional Immunizations will be needed for full protection." Not relevant to radioiodine treatment. Radioiodine treatment does not require additional immunizations.
Correct Answer is ["22"]
Explanation
Dobutamine infusion calculation:
- Client weight: 220 pounds
- Dobutamine dose ordered: 5.5 mcg/kg/min
- Dobutamine concentration: 750 mg in 500 mL
- Conversion factor: 1 mg = 1000 mcg
- 1 kg = 2.2 pounds
Calculations:
- Convert client weight to kg: 220 lbs / 2.2 lbs/kg = 100 kg
- Calculate mcg/min: 5.5 mcg/kg/min × 100 kg = 550 mcg/min
- Calculate mcg/hr: 550 mcg/min × 60 min/hr = 33000 mcg/hr
- Calculate mL/hr: Dobutamine concentration is 750 mg/500 mL, which equals 1500 mcg/mL.
- mL/hr = 33000 mcg/hr / 1500 mcg/mL = 22 mL/hr
Answers:
- mcg/min: 550 mcg/min
- mcg/hr: 33000 mcg/hr
- mL/hr: 22 mL/hr
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