A 9-year-old client with oppositional defiant disorder (ODD) has been referred to a child psychologist due to frequent outbursts and defiant behavior at home and school. Which of the following interventions should the nurse prioritize to help manage the child's behavior effectively?

Use physical restraints during severe outbursts to ensure safety.

Assign daily chores that are challenging to encourage discipline.

Encourage solitary play to reduce social stressors.

Put into practice consistent consequences for rule-breaking behavior.

Answer and Explanation

The Correct Answer is D

A. Use physical restraints during severe outbursts to ensure safety: Restraints should only be used as a last resort and are not an effective or ethical primary strategy for managing behavior in children with ODD.
B. Assign daily chores that are challenging to encourage discipline: Assigning overly challenging chores may lead to frustration and non-compliance, exacerbating behavioral issues rather than helping.
C. Encourage solitary play to reduce social stressors: Isolating the child may worsen feelings of exclusion and does not address the need for social skills development and appropriate behavior in social contexts.
D. Put into practice consistent consequences for rule-breaking behavior: Consistency in consequences helps the child understand boundaries and the importance of following rules, which is crucial for managing behavior in ODD.

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Correct Answer is A

Explanation

A. Dysmenorrhea that is unresponsive to NSAIDs. Endometriosis often causes severe pelvic pain that does not improve with NSAIDs, distinguishing it from typical menstrual cramps.
B. A history of pelvic inflammatory disease (PID). PID is not directly associated with endometriosis and typically presents differently.
C. Abdominal bloating starting several days before menses. While bloating can occur with endometriosis, it is not a definitive symptom for diagnosis.
D. An atypical Papanicolaou smear at her last clinic visit. An atypical Pap smear is more related to cervical abnormalities, not endometriosis.

Correct Answer is ["0.3"]

Explanation

Convert weight from pounds to kilograms:

19pounds÷2.2=8.64kg

Calculate the total daily dose:

0.07mg/kg/day×8.64kg=0.6048mg/day

Divide the daily dose into two doses:

0.6048mg/day÷2=0.3024mg/dose

Round off the dose to two decimal places:

0.3024mg≈0.30mg

The maximum amount of medication per dose is 0.3 mg.

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A 9-year-old client with oppositional defiant disorder (ODD) has been referred to a child psychologist due to frequent outbursts and defiant behavior at home and school. Which of the following interventions should the nurse prioritize to help manage the child's behavior effectively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Correct Answer is A

Explanation

A child with a heart defect is placed on a maintenance dose of Lanoxin elixir. The ordered dose is 0.07mg/kg/day in 2 divided doses. The child weighs 19 pounds. What is the maximum amount of medication that will be given per dose by the nurse?

Correct Answer is ["0.3"]

Explanation

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