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A nurse is caring for a client who has schizophrenia. The client suddenly moves to the corner of the room and shouts, “Get it away from me!” Which of the following actions should the nurse take?

A 10-month-old boy is brought to the office by his parents for a routine visit. There are several small bruises on the knee and buttocks of the child. Upon further questioning of the parents, the mother reveals that the child has just started crawling. The father states that the child is trying to get up while holding the sofa and chairs also but cries after standing for a few minutes and then sit down. On examination, no other bruises are found, and the child is moving all his limbs without any issues except both the knees, which have a restricted range of motion. The child is scoring at the 90th percentile on the growth chart for both height and weight. What is the best initial test in the evaluation of this patient?

A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take? (Hint: *Think safety of the client*)

A nurse is caring for a client, in an outpatient setting, who is experiencing poor appetite, fatigue, and thoughts of hopelessness. The nurse uses the SAD PERSONS scale to further assess. Which of the following items is included in SAD PERSONS?

BB is a 55 yo male who presents to the clinic with complaints of failure to maintain an erection. He is evaluated for cardiovascular risk and found to be in general good health. He is prescribed Tadalafil (Cialis) for treatment. What is the mechanism of action of tadalafil? 

A patient has stage V chronic kidney disease, and his family explains he is becoming progressively confused. Uremic encephalopathy is suspected. What other manifestations would support this complication?

A 65-year-old man presents to the hospital complaining of left upper quadrant abdominal pain, and fatigue. He has no previous medical illnesses, and he is only on vitamin supplements that were started by his primary care provider for excessive tiredness. On examination, he looks slightly pale. On abdominal examination, there is massive splenomegaly. Laboratory investigations reveal, hemoglobin 10.8 g/dl, platelets 140000, and white cell count 140000 per microliter. His peripheral smear shows the left shift with promyelocytes, myelocytes, and metamyelocytes. It is decided to send a sample for cytogenetic analysis. What is it most likely to show?

The NP is working in urgent care when a child comes in with a rash. The NP is concerned the rash could be measles (rubeola). Which TWO of the following could be associated with such an infection? 

A client who is 2 weeks postpartum calls the obstetrician’s office and states that they have had a whitish vaginal discharge for 1 week, but today is “bleeding and saturating a pad about every half hour.” Which of the following is an appropriate response by the nurse?

Ethan is a 10-year-old boy who has recently been spending more time on his tablet and watching TV. His parents are concerned because he has become less active over the last year. He used to play outside with friends but now prefers sedentary activities. As a result, his physical fitness levels have decreased, and his weight has increased slightly. Ethan has also started showing signs of irritability and has difficulty focusing in school.  In your own words tell me at least 3 recomendations that would help Ethan’s parents establish better habits, routines, and perhaps behaviors.  *** In order to receive full credit you must provide 3 distinctive recommendations.