Answer to Question 1
Correct Answer: 1,3
Rationale 1: Vocal tics are loud and sometimes inappropriate sounds made at inappropriate or unexpected times.
Rationale 2: This is not a true of children with ADHD.
Rationale 3: Vocal and motor tics are an adverse effect of Focalin XR and often result in the drug being discontinued.
Rationale 4: While this is a true statement, it does not address the mother's concern.
Rationale 5: There is no indication that this child is taking any illicit drugs.
Global Rationale: Vocal tics are loud and sometimes inappropriate sounds made at inappropriate or unexpected times. Vocal and motor tics are an adverse effect of Focalin XR and often result in the drug being discontinued. Children with ADHD do not make such sounds to call attention to themselves. Focalin XR does cause an inhibition of growth in many children, but it does not address the mother's concern. There is no indication that this child is taking any illicit drugs.
Answer to Question 2
Correct Answer: 2
Rationale 1: Pain associated with a chronic illness is chronic pain.
Rationale 2: Pain associated with an injury, surgery, or childbirth is acute pain.
Rationale 3: Pain associated with a malignant condition, such as cancer, is chronic pain.
Rationale 4: Pain associated with a nerve injury is neuropathic pain.
Global Rationale: Pain associated with an injury, surgery, or childbirth is acute pain. Pain associated with a chronic illness or a malignant condition, such as cancer, is chronic pain. Pain associated with a nerve injury is neuropathic pain.
A nurse adjusts the rate of a client’s IV.
The nurse cares for the postop client in the postanesthesia care unit (PACU).
A physician is performing a colonoscopy on a client and viewing the internal structures of the colon
Critical Pediatric Symptoms Indicating Need for Assessment and Possible Intervention
A hot stone placed under the client’s neck.
Positioning the client