A 2 yo toddler is seen in the clinic after a 2-day history of intermittent vomiting and diarrhea. An assessment reveals an irritable child with dry mucous membranes, 5 second capillary refill, 3 second recoil of skin, tachycardia to 160,  tachypnea at 40 BPM, and cool hands and feet. The child has had one wet diaper in the past 24 hours. What will the nurse practitioner recommend?

The parent of a 4 mo presents to your office with a history of cold symptoms last week , and now with a cough mom states is “so bad he vomits after coughing”. He has no fever, no wheezing. He is otherwise healthy but is not up to date on his immunizations. What is management of this condition?

A previously healthy 5-month-old infant presents with  a 3-day history of  worsening cough and rhinorrhea,  now has developed symptoms of respiratory distress with audible expiratory wheezes and increased coughing, temp to 100.9. The infant’s immunizations are up-to-date. The physical exam reveals a respiratory rate of 50 breaths per minute, coarse expiratory wheezing, and prolonged expiration. An oxygen saturation is 96% on room air. What is the most likely diagnosis for this infant? 

A previously healthy school-age child develops a cough and fever to 102.2. The  nurse practitioner auscultates crackles in all lung fields. Which diagnosis will the nurse practitioner suspect?  

A  full term neonate demonstrates a soft murmur,  LSB under left clavicle and in the back.  The nurse practitioner understands that the likely diagnosis is  Patent Ductus Arteriosus. The NP will refer the infant to a pediatric cardiologist and prepare the parents for which intervention in a newborn with a large shunt with pulmonary hypertension?

What is the purpose of the seasonal index in forecasting?    A) To predict demand exclusively in non-seasonal industries    B) To adjust forecasts to account for regular, predictable variations in demand    C) To eliminate the influence of seasonality on demand forecasts    D) To focus forecasting on random variations in demand  

When positioning for a foot MRI, the technologist should position the foot in the ____________ position for better imaging.  

Femur or tibia/fibula coronal and sagittal MRI FOV, it is common to image the full length of the bone including both joints. 

Which of these statements about debt is true? Choose all that apply.

Alex Learns about Credit ScoresAlex needs a new truck. He uses it to get to and from work and school. He purchased his current truck seven years ago using cash. It was already nine years old, so he got a great deal on it. But now it’s breaking down too often. He finds the perfect truck, but the dealer will only offer him an expensive loan. He is shocked. He learns that the reason why he was not offered better terms is because his credit scores are low. Alex decides to learn a little more about credit scores before buying a new truck. After reviewing his credit reports, Alex realized he doesn’t use his oldest credit card. He closes that credit card account. What impact will this have on his credit score?