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A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

"Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use."

There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you."

"Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature."

"It's a common misconception that there is a medication available to treat every health problem."

Answer and Explanation

The Correct Answer is A

A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." Behavioral interventions are the mainstay of treatment for ODD. Medications are not typically recommended unless there are comorbid conditions like ADHD or aggression that do not respond to behavioral interventions alone.

B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you: This statement is misleading as medications are not first-line for ODD.

C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature.": This is an oversimplification; while primarily behavioral, medications might be considered in certain cases.

D. "It's a common misconception that there is a medication available to treat every health problem.": This statement dismisses the possibility of appropriate medication when needed.

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Free Nursing Study Resources

Correct Answer is ["3"]

Explanation

Lidocaine infusion calculation:

Lidocaine dose ordered: 2 mg/min
Lidocaine concentration: 2 gm in 500 mL
Conversion factor: 1 mg = 1000 mcg

Calculations:

Convert Lidocaine dose to mcg/min: 2 mg/min × 1000 mcg/mg = 2000 mcg/min
Lidocaine concentration is 2 gm in 500 mL, which equals 4000 mcg/mL.
Calculate mL/hr:
- mL/hr = (2000 mcg/min × 60 min/hr) / 4000 mcg/mL = 3 mL/hr

Answer:

mL/hr: 3 mL/hr

Correct Answer is ["7.2"]

Explanation

Dopamine infusion calculation:

Client weight: 176 pounds
Dopamine dose ordered: 3 mcg/kg/min
Dopamine concentration: 500 mg in 250 mL
Conversion factor: 1 mg = 1000 mcg
1 kg = 2.2 pounds

Calculations:

Convert client weight to kg: 176 lbs / 2.2 lbs/kg = 80 kg
Calculate mcg/min: 3 mcg/kg/min × 80 kg = 240 mcg/min
Calculate mcg/hr: 240 mcg/min × 60 min/hr = 14400 mcg/hr
Calculate mL/hr: Dopamine concentration is 2 mg/250 mL, which equals 2000 mcg/mL.
- mL/hr = 14400 mcg/hr / 2000 mcg/mL = 7.2 mL/hr

Answers:

mcg/min: 240 mcg/min
mcg/hr: 14400 mcg/hr
mL/hr: 7.2 mL/hr

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A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician orders a Lidocaine drip to infuse at 2 mg/min. The drug is available as 2 gm in 500 ml of fluid. Solve for ml/hr.

Correct Answer is ["3"]

Explanation

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 is ["7.2"]

Explanation

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