Add or subtract. Then simplify by collecting like radical terms, if possible. Assume that no radicands were formed by raising negative numbers to even powers.-6 – 9 + 9

Factor completely.25k2 – 169m2

Solve.4×2 + 6x = – 1

Multiply.(x + 12)(x + 11)

Evaluate.(-12)0

Multiply and simplify.t6 ∙ t4

A school-age child has fever of 104°F, sore throat, vomiting and malaise. The primary care pediatric nurse practitioner observes that the tonsils, oropharynx, and palate are erythematous and covered with exudate; the tongue is coated and red; and there is a red, sandpaper-like rash on the child’s neck, trunk, and extremities. A rapid strep test is positive. What will the nurse practitioner do to manage this child’s illness?

An adolescent presents for a well visit. He is starting a new job which requires a urine drug screen. He went to a party about 3 weeks ago and drank alcohol and used “some drugs”. He wants to know if he will be able to “pass” his drug test. Which substance may be identified in the urine drug screen?

A child presents with a superficial head wound. The nurse practitioner may refer for head imaging. What form of laceration repair should NOT be used in this patient?

Current recommendations for the treatment of acute otitis media (AOM) indicate that all children should receive antibiotic treatment, regardless of age, illness severity, and certainty of diagnosis.