The nurse is planning care for a child who has intermittent explosive disorder (IED). The nurse should identify which of the following goals are appropriate for this client?
(Select All that Apply.)

The child will demonstrate effective problem-solving skills.

The child will acknowledge they have a genetic disorder.

The child will verbalize age-appropriate feelings of self-worth.

The family will be able to express their concerns.

The child will sign a behavior contract.

The child will learn to isolate when feeling angry.

Answer and Explanation

Correct Answer : A,E,F

A. The child will demonstrate effective problem-solving skills. Teaching problem-solving skills can help the child manage triggers and reduce explosive behaviors.

B. The child will acknowledge they have a genetic disorder: This is not directly related to managing IED behaviors.

C. The child will verbalize age-appropriate feelings of self-worth: Important for emotional development but not specific to managing IED.

D. The family will be able to express their concerns: Family involvement is important but not a behavioral goal for the child.

E. The child will sign a behavior contract: A behavior contract can outline expectations and consequences, promoting positive behavior change. This can be part of a behavioral management plan.

F. The child will learn to isolate when feeling angry: Teaching coping skills like isolation can help manage behavior.

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Correct Answer is D

Explanation

A. A client who has type 2 diabetes mellitus has a blood glucose level of 120 mg/dL: This glucose level is within normal range for many diabetes management plans.

B. A client who has diabetes insipidus has an intake of 1,500 mL and an output of 1,600 mL in 24 hr: This client may require monitoring but does not indicate an acute crisis.

C. A client who has Graves' disease has a heart rate of 100/min and reports tremors: These symptoms are concerning but do not suggest an immediate life-threatening situation.

D. A client who has a left-sided stroke reports severe headache and is manifesting confusion. These symptoms may indicate worsening conditions such as hemorrhage or increased intracranial pressure. Severe headache and confusion in a stroke patient could indicate a new complication such as hemorrhage or worsening neurological status, requiring urgent assessment and intervention.

Correct Answer is ["0.25"]

Explanation

Dopamine infusion calculation based on weight and concentration.

Dopamine dose ordered: 3 mcg/kg/min
Dopamine concentration: 600 mg in 1000 mL (or 600 mcg/mL)
Client's weight: 110 pounds (converted to kg: 110 lbs / 2.2 = 50 kg)

Calculations:

mcg/min = 3 mcg/kg/min × 50 kg = 150 mcg/min
mcg/hr = 150 mcg/min × 60 min/hr = 9000 mcg/hr
mL/hr = 150 mcg/min / 600 mcg/mL = 0.25 mL/hr

Answers:

mcg/min = 150 mcg/min
mcg/hr = 9000 mcg/hr
mL/hr = 0.25 mL/hr

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The nurse is planning care for a child who has intermittent explosive disorder (IED). The nurse should identify which of the following goals are appropriate for this client? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has received a report on a group of clients. Which of the following client clients should the nurse assess first?

Correct Answer is D

Explanation

Administer a continuous Dopamine infusion at 3 mcg/kg/min. The drug is available as 600 mg in 1000 ml of fluid. The client's weight is 110 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include unit of measure with each answer)

Correct Answer is ["0.25"]

Explanation

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The nurse is planning care for a child who has intermittent explosive disorder (IED). The nurse should identify which of the following goals are appropriate for this client?
(Select All that Apply.)