Children diagnosed with dysthymia have shown improvement from which of the following treatment regimens?
a. reality therapy and authoritarian parenting
b. SSRI medications and psychotherapy
c. behavior modification alone
d. brief solution-oriented therapy
B
Selective serotonin reuptake inhibitors (SSRIs) were thought to have a positive effect on children with depression. However, the use of SSRIs has become an increasingly controversial topic in children and adolescents.
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Discovered upon inspection, a pulsation or systolic bulge found at the third intercostal space, left sternal border, is considered
a. normal, caused by blood pulsating against the left ventricular wall. b. abnormal, possibly caused by a left ventricular aneurysm. c. abnormal, possibly caused by pericardial disease with constriction. d. abnormal, possibly caused by a right ventricular rupture.
Which laboratory result would be a cause for concern if exhibited by a client at her first prenatal visit during the second month of her pregnancy?
a. Rubella titer, 1:6 b. Platelets, 300,000/mm3 c. White blood cell count, 6000/mm3 d. Hematocrit 38%, hemoglobin 13 g/dL
Although painful and difficult to manage, what is the location of choice for starting IVs in pediatric patients?
A. Hand vein B. Antecubital vein C. Foot vein D. Forearm vein
Following a nephrectomy, which assessment finding is most important in determining nursing care for the client?
A) Urine output of 35 to 40 mL/hour B) Pain of 3 out of 10, 1 hour after analgesic administration C) SpO2 at 90% with fine crackles in the lung bases D) Blood tinged drainage in Jackson-Pratt drainage tube